LoGiudice John A, Wyler von Ballmoos Moritz C, Gasparri Mario G, Lao William W
From the *Department of Plastic Surgery, and †Division of Cardiothoracic Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.
Ann Plast Surg. 2016 Apr;76(4):463-7. doi: 10.1097/SAP.0000000000000389.
This review adds to the limited body of literature describing the use of skin flaps for reconstruction of the esophagus and includes a report of a successful 1-stage, intrathoracic reconstruction of the cervical and thoracic esophagus after failed gastrointestinal conduit. Already widely used for reconstruction of the pharynx and cervical esophagus, the versatile anterolateral thigh flap can be considered an option for more extensive defects of the cervical and thoracic esophagus in this challenging patient population when gastric, jejunal, or colon conduits are not available. The authors believe the anterolateral thigh flap should be considered in 1-stage anatomic reconstruction of the cervical and thoracic esophagus in the absence of feasible gastrointestinal conduits.
本综述补充了关于使用皮瓣重建食管的有限文献，并报告了1例在胃肠管道重建失败后成功进行1期胸段颈段食管重建的病例。多功能股前外侧皮瓣已广泛用于咽和颈段食管的重建，在这一具有挑战性的患者群体中，当无法使用胃、空肠或结肠管道时，可将其视为颈段和胸段食管更广泛缺损的一种选择。作者认为，在没有可行的胃肠管道时，应考虑使用股前外侧皮瓣进行颈段和胸段食管的1期解剖重建。
